Individual provider Active NPI

Thomas Justin Pretlow, PT

  • Physical Therapist
  • Crozet, VA
National Provider Identifier
1194158360
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305208143 Issued in VA
Practice address
5690 Three Notch D Rd
# 107
Crozet, VA 22932-3172
Phone
(434) 823-7628
Fax
(434) 823-7681
NPI assigned
Aug 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305208143 VA Primary

Addresses

Primary practice location

5690 Three Notch D Rd
# 107
Crozet, VA 22932-3172

Mailing address

5690 Three Notch D Rd
# 107
Crozet, VA 22932-3172
Phone (434) 823-7628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130924000432 VA Practitioner - Physical Therapist in Private Practice 2062656556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy at AcacGroup PAC ID 7214907211, 52 clinicians

Practice addresses (Care Compare)

1015 Heathercroft Cir
Suite 200
Crozet, VA 22932-3370
Phone (434) 817-4283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy at Acac Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Physical Therapy at Acac CurrentSince Aug 1, 2021 Accepting new patients
Physical Therapy at Acac Physical Therapist Past Accepting new patients
PT Plus at Stuarts Draft, LLC Physical Therapist Past Accepting new patients

Locations

595 Martha Jefferson Dr
Ste 120
Charlottesville, VA 22911
Phone (434) 529-8361

111 Monticello Ave
Ste B
Charlottesville, VA 22902
Phone (434) 817-4276

504 Albemarle Sq
Charlottesvle, VA 22901
Phone (434) 817-7848

1015 Heathercroft Cir
Ste 200
Crozet, VA 22932
Phone (434) 817-4283

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1194158360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 THREE NOTCH D RD",
            "address_2": "# 107",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323172",
            "telephone_number": "434-823-7628",
            "fax_number": "434-823-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 THREE NOTCH D RD",
            "address_2": "# 107",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323172",
            "telephone_number": "434-823-7628",
            "fax_number": "434-823-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETLOW",
        "first_name": "THOMAS",
        "middle_name": "JUSTIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crozet, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.